Individual provider Active NPI

Cally Wollet, DO

  • Emergency Medicine Physician
  • Erie, PA
National Provider Identifier
1518533736
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT020844 Issued in PA
Practice address
232 W 25TH St
Erie, PA 16544-0002
Phone
(814) 452-5101
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT020844 PA Primary

Addresses

Primary practice location

232 W 25TH St
Erie, PA 16544-0002

Mailing address

9111 Knauf Rd
Canfield, OH 44406-8421
Phone (330) 519-7995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240510001525 NY Practitioner - Emergency Medicine 6901247709 Reassigns benefits to 1 organization
I20240717003391 PA Practitioner - Emergency Medicine 6901247709 Reassigns benefits to 2 organizations
I20240806004604 OH Practitioner - Emergency Medicine 6901247709 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
327692NYMDLicensed Practical Nurse
OT020844PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Erie County LTD. Emergency Medicine CurrentSince Apr 23, 2024 Accepting new patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince Nov 7, 2024 Accepting new patients
Mves Boardman LLC Emergency Medicine CurrentSince Nov 7, 2024 Accepting new patients
4M Emergency Systems Tod LLC Emergency Medicine CurrentSince Nov 7, 2024 Accepting new patients
Steward Emergency Physicians Ohio Inc Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
4M Emergency Systems LLC Emergency Medicine CurrentSince Nov 7, 2024 Accepting new patients
Mves Austintown LLC Emergency Medicine CurrentSince Nov 7, 2024 Accepting new patients
Ahn Observation Group LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1518533736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 KNAUF RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068421",
            "telephone_number": "330-519-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165440002",
            "telephone_number": "814-452-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLET",
        "first_name": "CALLY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT020844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.